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1811292725
KATHLEEN RUSS
SANTA CRUZ, CA
NPI
1811292725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 64202)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
Ms. KATHLEEN RUSS MA
104 WALNUT AVE STE 208
SANTA CRUZ, CA 95060-3929
Phone number: 831-423-9444
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Mailing Address
Ms. KATHLEEN RUSS MA
PO BOX 1863
LOS GATOS, CA 95031-1863
Phone number: 408-219-2467
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